Comparison of Chief Surgeons' and Assistants' Feelings of Fatigue Between Laparoendoscopic Single-site and Conventional Laparoscopic Adrenalectomy
Comparison of Chief Surgeons' and Assistants' Feelings of Fatigue Between Laparoendoscopic Single-site and Conventional Laparoscopic Adrenalectomy
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DOI：
10.1007/s00268-021-05962-3
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发表时间：
2021-01-27
影响因子：
2.6
通讯作者：
Teishima, Jun
中科院分区：
文献类型：
--
作者：
Inoue, Shogo;Ikeda, Kenichiro;Teishima, Jun
背景我们的目的是比较腹腔镜单部位肾上腺切除术（LESS-A）和传统腹腔镜肾上腺切除术（CLA）手术前后手术人员的疲劳感。方法 收集 2011 年 6 月至 2017 年 9 月期间进行的外科手术数据（57 个 LESS-A 和 37 个 CLA）。两组的每项手术均由同一位主任医师完成。使用“Jikaku-sho shirabe”问卷评估手术团队主要成员（主刀医师、内窥镜师、助理外科医生）的主观疲劳感，其中包含有关工作相关疲劳感的问题。它由因素分析得出的5个因素（困倦、不稳定、不安、局部疼痛或迟钝、眼睛疲劳）的25个主观项目组成。对于每个项目，参与者被要求使用手术前后的五点评分量表来评估他们的感受强度。结果 LESS-A 和 CLA 手术组之间的手术时间没有显着差异 (p = 0.231)。对于首席外科医生来说，LESS-A 和 CLA 手术之间的局部疼痛或迟钝 (p = 0.603) 和眼睛疲劳 (p = 0.086) 相似。 LESS-A 组的内窥镜医师和助理外科医生没有出现局部疼痛或钝痛（分别为 p = 0.793 和 p = 0.240）。然而，他们确实比 CLA 组的人遭受更多的眼睛疲劳（分别为 p = 0.001 和 p = 0.001）。结论 虽然 LESS-A 通常被认为是技术上困难的手术，但本研究的结果表明，LESS-A 和 CLA 手术之间的身体疲劳感大致相当。
Background Our objective was to compare the surgical staff's feelings of fatigue between laparoendoscopic single-site adrenalectomy (LESS-A) and conventional laparoscopic adrenalectomy (CLA) before and after surgery. Method Data were collected for surgical procedures performed between June 2011 and September 2017 (57 LESS-A and 37 CLA). Each procedure in both groups was performed by the same chief surgeon. The subjective fatigue feelings of the key members of the surgical team (chief surgeon, scopist, assistant surgeon) were assessed using the "Jikaku-sho shirabe" questionnaire, which contained questions about work-related feelings of fatigue. It consisted of 25 subjective items for 5 factors drawn from factor analysis (drowsiness, instability, uneasiness, local pain or dullness, and eyestrain). For each item, the participants were requested to estimate the intensity of their feelings using a five-point rating scale before and after surgery. Results There was no significant difference in operative time (p = 0.231) between the LESS-A and CLA procedure groups. For the chief surgeon, local pain or dullness (p = 0.603) and eyestrain (p = 0.086) were similar between the LESS-A and CLA procedures. The scopists and assistant surgeons in the LESS-A group did not suffer local pain or dullness (p = 0.793 and p = 0.240, respectively). They did, however, suffer more eyestrain than those in the CLA group (p = 0.001 and p = 0.001, respectively). Conclusion Although LESS-A is generally considered to be a technically difficult procedure, the results of this study demonstrate that the feelings of physical fatigue are roughly equivalent between LESS-A and CLA procedures.